Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114098696 Individual Practitioner Male Practitioner

Dr. Bobak Amir Ghaheri , MD

Otolaryngology • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bobak Ghaheri, MD is a certified Otolaryngology practicing in Gresham, OR. With approximately 24 years of clinical experience since graduating from Ohio State University College Of Medicine in 2002, Dr. Ghaheri delivers high-quality medical care to the local community at 24076 SE STARK ST.

Dr. Ghaheri is affiliated with The Oregon Clinic, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include professional service for multiple injections of allergen, injection of allergenic extracts into skin for immediate reaction analysis, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St
Suite 230

Gresham, OR 970303373

Telephone 5034882600
Fax 5034655468
Associated Practice Facility / Clinic
🏢 Gresham Professional Pharmacy Facility NPI 1063401198

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Gresham, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -1.8 yrs vs City Avg
City Avg: 25.8 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Gresham, OR (171 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghaheri (24 Years) 24 Yrs
Gresham Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95117 Professional service for multiple injections of allergen
24 12 $43.00 $13.23

Medical Specialties & State Licenses

CMS Verified: 2025-12-04
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OR MD27404

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8481699 (WA)
Medicaid State Provider ID
006246 (OR)

Hospital & Practice Group Affiliations

The Oregon Clinic, Pc

24076 Se Stark St, Gresham, OR 970303162

Phone: 5034655461

Secondary Practice Locations

1111 Ne 99th Ave Ste 101

Portland, OR 972209442

Phone: 5034882626

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Anna Lee , PA-C

Physician Assistant

NPI 1114479458

Physician Assistant (Certified)

NPI 1144398801

Doctor of Medicine (M.D.)

NPI 1194271262

Master of Public Health, MSHS, Physician Assistant (Certified)

NPI 1265407019

Doctor of Medicine (M.D.)

NPI 1326678327

Doctor of Medicine (M.D.)

NPI 1376205278

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 21, 2023

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5039632801)

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2013

Registered at 24076 SE STARK ST, SUITE 230, GRESHAM, OR 970303373 (Tel: 5034882600)

📍
Updated Business Mailing Address September 24, 2013

Registered at 847 NE 19TH AVE, SUITE 300, PORTLAND, OR 972322684 (Tel: 5039632801)

👤
Provider Name / Credentials Updated September 24, 2013

Recorded as BOBAK GHAHERI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Otolaryngology (License #MD27404 in OR)

🟢
Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114098696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: December 04, 2025
Sole Proprietor: No

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5039632801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.